Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ethan Clark

Individual provider Physician Assistant · NPI 1356237143

Ethan Clark is a Physician Assistant in Nashville, Tennessee. Qualified in 2025, 1 year ago. Practices with Vanderbilt University Medical Center, a 3,466-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
1
Licensed in
TN
In the registry since
2025
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Practice location Address checks out

3601 The Vanderbilt Clinic
Nashville, TN 37232-0001
Phone: (615) 322-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1211 Medical Center Dr, Nashville, TN 37232-2754 — (615) 322-5000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6696 (TN)

Record details

NPI number1356237143
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 17, 2025
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Vanderbilt University Medical Center — 3466 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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